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Over the years, CMS has struggled with how to pay Medicare Advantage plans, trying to balance cost with making it attractive enough for carriers and providers to offer options that work for the beneficiaries.

‘Medicare for all,’ the most common and simplistic single-payer idea would have devastating effects on the healthcare delivery system as we know it because of the drop in reimbursement that would mean for physicians and hospitals.

Because of the very unequal distribution of healthcare costs across the population, it is a given that we are going to transfer wealth from some to others; single-payer advocates argue that system is a better way.